Inspection Detail

Inspection: 312580582 - Safeway Inc.

Inspection Information - Office: Modesto District Office

Inspection Nr: 312580582

Report ID: 0950624

Date Opened: 10/19/2010

Site Address:
Safeway Inc.
16900 West Schulte Road
Tracy, CA 95377

Mailing Address:
Po Box 9070, Pleasanton, CA 94588

Union Status: Union

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/25/2011

Emphasis:

Case Closed: 02/14/2013

Related Activity
Type	Activity Nr	Safety	Health
Accident	102569472

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1					1
Initial Penalty	$22,500	$0	$0	$0	$0	$22,500
Current Penalty	$9,000	$0	$0	$0	$0	$9,000
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	3203 A06	03/25/2011	04/12/2011	$0	$13,500	$0	04/05/2011	D - Govt Dismissed	Citation has been deleted.
2.	02001	Serious	3650 T05	03/25/2011	04/12/2011	$9,000	$9,000	$0	04/05/2011	W - Empr Withdrew

Investigation Summary

Investigation Nr: 202520938

Event: 09/26/2010

Employee's Leg Is Injured When Crushed Between Equipment

At approximately 7:00 p.m. on September 26, 2010, Employee #1 was operating a forklift to perform selecting operations in the refrigeration and produce departments of a Safeway distribution center. While proceeding down an aisle, he encountered two other forklifts that blocked his route. Employee #1 applied the brakes but was unable to stop before his forklift collided with one of the others. His left leg and ankle became pinned between them. Employee #1 was transported by ambulance to San Joaquin General Hospital, and then transferred to UC Davis, where he was hospitalized for treatment of the crushing injuries.

Keywords: PINNED, SPEEDING, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, STORAGE AREA, ANKLE, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312580582			Hospitalized injury	Other	Industrial truck and tractor equipment operators

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